GAINES WARDLAW HAMMOND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153650

License Status

NOT RENEWED

Business

Title

First Name

GAINES

Middle

WARDLAW

Last Name

HAMMOND

Business Name

GAINES WARDLAW HAMMOND MD

Original Issue Date

07/09/2020

Effective Date

07/09/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

11/30/2023